Provider Demographics
NPI:1841049053
Name:NEWMAN, NICOLE CHRISTINA (STNA)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:CHRISTINA
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:BRICE
Mailing Address - State:OH
Mailing Address - Zip Code:43109-0323
Mailing Address - Country:US
Mailing Address - Phone:614-208-7165
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 323
Practice Address - Street 2:
Practice Address - City:BRICE
Practice Address - State:OH
Practice Address - Zip Code:43109-0323
Practice Address - Country:US
Practice Address - Phone:614-208-7165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH600961880524372600000X, 374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health Aide